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[Ectopic ureter. Our experience at the Children's Hospital of Panamá 1973-1995]
1Facultad de Medicina de la Universidad de Panamá.
Insights
Ectopic ureter in children, a condition where the ureter does not connect normally to the bladder, often leads to urinary incontinence and infections. This study details cases in young patients, highlighting varied drainage sites and associated anomalies.
Area of Science:
- Pediatric Urology
- Congenital Anomalies
- Urinary Tract Abnormalities
Context:
- Ectopic ureter diagnosis in pediatric patients.
- Varied ureteral drainage sites reported: vaginal vestibule, urethra, prostatic urethra, and perineal region.
- Associated symptoms include urinary incontinence and recurrent urinary tract infections.
Purpose:
- To report cases of ectopic ureter in children.
- To describe the anatomical variations and clinical presentations.
- To illustrate management of complex cases, including renal agenesis.
Summary:
- The study details 14 pediatric cases (12 girls, 2 boys) with ectopic ureter diagnosed at a children's hospital.
- Drainage sites varied, including the vaginal vestibule, urethra, prostatic urethra, and perineal region.
- One case involved renal agenesis with a ureter draining into a Gartner's cyst and then the vagina.
Impact:
- Highlights the spectrum of ectopic ureter presentations in children.
- Emphasizes the importance of thorough diagnostic evaluation for urinary incontinence and infections.
- Provides insights into surgical management of complex ectopic ureter cases.
Abstract:
The author reports 12 girls, 4 to 8 years of age, and 2 boys, a newborn and a 6 year old, with ectopic ureter diagnosed at the Children's Hospital in Panama City. In 7 of the girls the ureter drained into the vaginal vestibule and in 5, into the urethra. In the boys, the ureter drained into the prostatic urethra in one and in the perineal region in the other. All the patients had had incontinence and urinary tract infection. The author present the clinical history of a 3 year old girl with the diagnosis of right renal agenesis, absence of the right ureteral meatus and urinary incontinence, in whom resection of the hypoplastic, dysplastic right kidney and the atretic right renal artery was done. The distal ureterogram, performed during the operation, showed drainage into a Gartner's cyst (residual of a Wolff's cyst) which then drained into the vagina.